# MONROE COUNTY HEALTH CENTER

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Craig County Dental Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1548582034
- **Authorized official:** MICHELLE B BALLARD (COO)
- **Authorized official phone:** (304) 772-3065

## Contact information

- **Practice address:** 230 MARKET STREET, NEW CASTLE, VA 24127
- **Practice address phone:** (540) 864-5556
- **Mailing address:** 200 HEALTH CENTER DRIVE, PO BOX 590, UNION, WV 24983
- **Mailing address phone:** (304) 772-3065

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 0401411129 | VA | Yes |

## Other

- **Enumeration date:** 02/24/2010
- **Last updated:** 09/28/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1548582034 | — | VA |
| 05 | — | 1548582034 | — | WV |